Inaliti efakwe kwi-Back Back inikeza i-Cerebrospinal Fluid ye-Diagnosis
Xa uzama ukufikelela kwi-diagnostic, ngamanye amaxesha kuyimfuneko ukwenza iimvavanyo ezingenakunzima ukuza nezimpendulo. Olunye uvavanyo olunokuthi luvelise ulwazi olubalulekileyo lokuxilonga luphepha lomgcini. Oku kunokuba luncedo kakhulu kwiimeko ezithile zeengxaki ze-neuroloki kwaye, ngokumangalisayo, ezinye iingxaki zokulala. Iyiphi ipompo yomgcini okanye umgudu wokutshitshiswa kwe-lumbar?
Ngaba zikhona iingozi okanye iingxaki ezinxulumene nenkqubo omele uyazi ngayo? Funda indlela onokuyisebenzisa ngayo umpompo onomgudu ukuxilonga imeko yakho ngokufumana i-cerebrospinal fluid (CSF) yokuvavanya.
Yintoni i-Spinal Tap okanye iLumbar Puncture?
Umtshini wokugcoba, okanye ukutshitshiswa kwe-lumbar (LP), kubhekisela kwinkqubo ekhethekileyo apho umbane ususwe ngenaliti ephuma kwisangqa ejikeleze intambo yomgogodla. Le cerebrospinal fluid (CSF) ihlamba ubuchopho nentambo yomgudu, ukukhusela ezi zakhiwo ezibalulekileyo ekungcoleni. Ukuhlalutya umkhuhlane kunokuveza iziphumo ezibalulekileyo malunga nezimo zeengxaki zegazi.
Inkqubo inokuthi yenziwe ngudokotela kwisebe lexakeka, esibhedlele, okanye kwimeko yeklinikhi. Umpompo womthambo uthabatha ngaphantsi kweyure, kodwa unokuhlala ixesha elide ukuba umbane uqokelelwa ngokukhawuleza. Ngokuqhelekileyo kwenziwa rhoqo ngesigulane esilala ecaleni lakhe, ngokuqhelekileyo ngamadolo akhe athathwe esifubeni sakhe.
Kungenziwa kwakhona kwindawo ehleli kuyo. Esi sikhundla sihlukanisa amathambo kumqolo osezantsi (obizwa ngokuba yi-vertebrae lumbar), okuvumela ukufikelela lula. Emva kokuba isikhumba sinyanzeliswe, inamachiza amanqindi ajoyiweyo. Kule ngongoma ukuba inaliti enkulu ibekwe ukukhupha i-CSF.
Kutheni Kufuneka Umtya Womgcini?
Ingcambu yomthambo ingadingeka ukunceda ekuxilongeni kweemeko ezahlukahlukeneyo, ingakumbi iingxaki ezinxulumene nenkqubo yesifo.
Ngokuqhelekileyo, isetyenziselwa ukuvavanya ukuba kukho isifo kwingqondo okanye kwiimvumi ezijikelezayo. Ezi zifo zibizwa ngokuba yi-encephalitis okanye i-meningitis.
Iipompo zomlingo zisetyenziselwa ukuba kukho ikhanda elivakalayo elibangelwa ngumlinganiselo omncinci wokuphuma ekhanda. Oku kubizwa ngokuba yi- subarachnoid iimorrhage . Inokuthi inganakukhatywa ngeso sikhokelo kunye nokuqonda okuqhubekayo kunokufumaneka ngokuhlalutya i-CSF yokuba khona kwegazi.
Kukho neemeko zonyango ezingapheliyo ezinokufunyanwa ngokwenza umpompo womthambo. Eyona nto ixhaphakileyo yi- multiple sclerosis . Abantu abane-multiple sclerosis banokutshintshwa kwiimpawu ezizodwa kwi-CSF yabo ebizwa ngokuba ngama-oligoclonal bands okanye iproteinyini yam iselin. Imilinganiselo yeprotheni, i-glucose, kunye nokubala kweeseli zenziwa rhoqo kwiiplctures zonke.
Nokuba uxinzelelo apho i-CSF iphuma khona ingaba nolwazi; ukuphakama kunokuphakamisa ipseudotumor cerebri . Umxinzelelo ophantsi ungabikho ekudambiseni amanzi.
Kwiindawo zonyango lokulala, kukho izimbonakaliso ezimbalwa zokwenza umpompo. Ukuxilongwa kweengxowa-ngxaki kunokuncediswa ngokulinganisa i-orexin kunye namazinga e-hypocretin kwi-CSF. Esi sifo esithathelwanayo esibizwa ngokuba sisifo sokulala saseAfrika, le nkqubo ingaba luncedo ekuqaliseni izinga lokugula.
Ngenye indlela ayilona vavanyo oluyimfuneko lokuhlola ukuhlola ubuthongo.
Iingozi kunye neengxaki zeTaginal Taps
Iipompo zomgcini ziyesabisa. Uninzi lwabantu alukho umdla kubo, kwaye abaninzi baye bava iindaba ezibuhlungu. Ngaphezu koko, xa zifunwa, kusemgangathweni. Kunokwenzeka ukuba ugule ezinye zezi ntswelo.
Inkxalabo exhaphakileyo yile: Ngaba intonga yomgudu ibuhlungu? Ukunyamezela inqubo kuhluka, njengoko sonke sinemingcele eyahlukileyo ngenxa yentlungu okanye ingxaki. Ukusetyenziswa kweyeza elincinci kunokuziva ngathi inyosi. Emva kwelo nqaku, kunokuvakalelwa ngakumbi njengengcinezelo kunokuba buhlungu buhlungu.
Abaninzi baya kugqabaza kwisiphetho, "Kwakungekho kubi kakhulu." Kwizandla ezinezakhono, ngomlinganiselo owamkelekileyo wenzuzo, umpompo womgcini ungagcinwa ngokulula. Oku akunakwenzeka njalo, ngokukodwa xa ukukhulula kuninzi okanye ukuguqulwa kwesantya kwintsipho kuyakha umngeni.
Kukho iingcipheko ezimbalwa ezinxulumene nenkqubo ngokwayo. Kubalulekile ukuba ugqirha aqaphele ingozi ebakhoyo phambi kokuba enze umpompo. Ingxaki enobungozi yenzeke xa ubuchopho buhamba ngenxa yengcinezelo engakumbi ngaphakathi kwekhanga. Oku kungabangela ukufa. Ngenxa yeso sizathu, ukuhlolwa kweengxaki ze-neuroloki kwaye ngamanye amaxesha i-computing (tom) (CT) okanye umfanekiso we-magnetic resonance (MRI) unokwenziwa. Nangona kubaluleke kakhulu, le nkcenkcesha inqabile.
Ngokuqhelekileyo, inani elincinci lokuphuma kwegazi lingafumaneka kwisiza sokutshitshiswa. Ugqirha wakho unokujonga ukubala kwegazi kwaye uphephe ukuthatha abagcini begazi ngaphambi kwenkqubo. Kukho umngcipheko omncinci wokusuleleka. Inkxalabo eqhelekileyo enxulumene nompompo weconongo yesikhalazo sekhanda elikhulayo emva koko. Oku kudla kancinci ngokuhlala phezulu okanye ukuma. Iphendula ngokufanelekileyo ukuphumla, i-hydration, i-caffeine, kunye neyeza.
Olunye uxhalaba lunokuba ngumngcipheko wokuba ukhubazeke kule nkqubo. Nangona i-twinge yentlungu okanye i-numbness shooting emlenzeni ingenzeka njengoko umbhobho wesipelini usenziwa, ukungaxakeki okuqhubekayo akunakwenzeka. Ezi ziphazamiso zintlungu zivela xa iimbilini ezishiya intambo yomgudu zidibene. Oku akuyi kubangela ubuthathaka. Kubuninzi babantu, intambo yomthambo ngokwawo iphetha amanqanaba amaninzi e-vertebral ngaphezu kwendawo apho i-fluid ithathwa khona, ngoko umngcipheko wokulimala okanye ukukhubazeka akuqhelekanga.
Ukuba ugqirha wakho uncoma umpompo womthambo, mhlawumbi isizathu esibalulekileyo. Xoxa malunga naluphi na ukukhathazeka onokuyenza malunga nenkqubo kwaye ubuze imibuzo ukuze uqonde ukuba kunokuba luncedo njani ekufumaneni ukuxilongwa. Cinga ngemingcipheko ngokucophelela kwaye uyathuthuzela ekubeni uyazi ukuba le nkqubo iqhelekileyo inokubonelela ngeenkcukacha ezibalulekileyo malunga nesimo esicwangcisekileyo ugqirha wakho enethemba lokuchonga.
Imithombo:
Uvavanyo lweNylological Testing and Procedures. ISizwe lesiZwe seNtsholongwane kaGawulayo kunye neSroroke , amaZiko eNational Health. Kufumaneka: Julayi 14, 2012.
Dugdale, C et al. Ukuqokelela kwe-Cerebral spinal fluid (CSF). " I-MedLinePlus , iiNational Institutes of Health. Kufumaneka: Julayi 14, 2012.